Organization
HOUSE CALL DOC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH HUNT WALDRON (REGISTERED AGENT)
(541) 740-3340
Entity
Organization
Contact information
Practice address
2610 NW GLENWOOD DR, HOUSE CALL DOC, LLC, CORVALLIS, OR 97330-3134
(541) 740-3340
(541) 207-3520
Mailing address
2610 NW GLENWOOD DR, HOUSE CALL DOC, LLC, CORVALLIS, OR 97330-3134
(541) 740-3340
(541) 207-3520
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD17598
OR
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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